Jennifer Konieczny | Tyler, TX • PECOS Search

Jennifer Konieczny

Pharmacist

Pharmacy Service Providers

100 Rice Rd, Tyler, TX 75703-3761

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Konieczny does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1821635160
Provider Type
Individual
Full Name
Konieczny, Jennifer
Title
Dr.
Credential
PHARMD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/5/2019
Last Updated
12/5/2019

Contact Information

Practice Location

100 Rice Rd, Tyler, TX 75703-3761

Unlisted Fax

Mailing Location

100 Rice Rd, Tyler, TX 75703-3761

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 51730 Texas